Biomedical subjects

R H Fell

Publications and source records attributed to R H Fell.

12 recordsLinked to original sources

PubMed1994

The "mini-Bier's block": a new technique for prevention of tourniquet pain during axillary brachial plexus anaesthesia.

Tourniquet cuff pain is a significant cause of morbidity following regional anaesthesia of the upper limb. We describe a simple new technique for effectively anaesthetizing the area under a pneumatic tourniquet (the "mini-Bier's block"), which permits comfortable surgery under axillary block anaesthesia even if the local block is incomplete. We report a controlled study of 40 patients in whom statistically significant tourniquet cuff pain relief was obtained in patients receiving an additional low-dose intravenous injection of local anaesthetic localized beneath the cuff. This technique ensures that the safe axillary approach to the brachial plexus can always be used with avoidance of pain from the pressure of the tourniquet cuff.

Adolescent↗

PubMed1980

Migraine and surgery. Avoidance of trigger mechanisms.

Six patients who had had severe migraine attacks after previous operations were given sedative before operation and dextrose 50 g and haloperidol 1.5 mg during surgery. All six patients noticed a marked improvement in their postoperative condition.

Anesthesia, General↗

PubMed1979

Preventing postoperative thromboembolism.

Explore the source record for details and available documents.

Heparin↗

PubMed1976

Ketamine and juvenile chronic polyarthritis (Still's disease). Anaesthetic problems in Still's disease and allied disorders.

The rationale for the use of ketamine anaesthesia in patients with juvenile chronic polyarthritis is presented. The method was used successfully in 70 patients. There were no deaths but one refused to have ketamine again.

Anesthesia, Intravenous↗

PubMed1973

Electrocardiography during manual dilatation of the anus.

Manual dilatation of the anus was carried out on 50 unpremedicated outpatients under propanidid, nitrous oxide, and halothane anaesthesia with E.C.G.monitoring. About half of the patients received intravenous atropine with the propanidid. The operation induced a variety of changes in heart rate but in the whole experiment only two isolated cardiac arrhythmic complexes were seen-a single defect of conduction and a solitary ventricular extrasystole. Changes in rate were not modified by atropine. It is concluded that manual dilatation of the anus is a safe procedure when carried out under the anaesthetic described and that prior medication with atropine is not necessary. This work supports the view that propanidid protects patients from most abnormalities of heart action which result from intense visceral stimulation.

Anal Canal↗

PubMed1972